Codeine
Overview
Codeine is a prescription opioid commonly used to treat mild to moderate pain and as a cough suppressant in combination medications. It is derived from morphine but is less potent, making it a widely prescribed medication for temporary conditions like postoperative pain or persistent coughing. Codeine works by binding to opioid receptors in the brain and spinal cord, dulling pain and suppressing the cough reflex. While it is effective for short-term relief, prolonged or non-medical use can lead to dependency and addiction. Codeine is often misused by consuming it in high doses or mixing it with other substances, such as in the form of “lean” (a recreational mixture of codeine cough syrup, soda, and sometimes candy).
Signs of Addiction
Codeine addiction manifests as cravings, increased tolerance, and emotional reliance on the drug for relaxation or euphoria. Signs include using codeine in higher doses than prescribed, withdrawal symptoms such as irritability, sweating, or nausea, and neglect of responsibilities. Behavioral changes like obtaining the drug illegally or isolating socially further indicate misuse.
Treatment Methods
Tranquility Woods addresses codeine addiction with a personalized, holistic approach. Medically supervised detox ensures safe management of withdrawal symptoms such as nausea and irritability. Clients engage in three individual addiction therapy sessions weekly to explore triggers and develop healthier coping mechanisms. Mental health therapy focuses on co-occurring conditions like anxiety or chronic pain. Weekly acupuncture and massages provide relief from physical discomfort and reduce stress, while CBT and group therapy equip clients with tools for maintaining long-term sobriety.
Mental Health Conditions
• Depression: Misuse of codeine, especially when combined with other depressants, can worsen depressive symptoms.
• Anxiety Disorders: Fear of withdrawal or dependency can increase anxiety levels.
• Substance-Induced Mood Disorders: Overuse may lead to mood swings, irritability, or even periods of mania.
These conditions complicate recovery and require dual-diagnosis care to address both addiction and mental health.
Risks and Side Effects
Codeine use poses several risks, including drowsiness, constipation, and nausea in the short term. Long-term misuse can cause liver damage, especially when combined with acetaminophen, a common ingredient in codeine-containing medications. Respiratory depression is a severe risk with high doses or when combined with alcohol or benzodiazepines, which can lead to coma or death. Dependency develops quickly, increasing the likelihood of overdose, particularly if codeine is obtained through illicit means or mixed with unregulated substances.